Male Gender and High Trait Anxiety Are 2 Major Factors Associated With Severe Dental Fear and Avoidance

Ihara, Yoshiaki; Fukuda, Ken‐ichi; Saita, Naoko; Ichinohe, Tatsuya

doi:10.2344/anpr-65-03-08

Cited by 9 publications

(11 citation statements)

References 20 publications

(12 reference statements)

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“…The proportion of those with more than 10 missed appointments was 5.9% while the proportion among boys was 9.0% and among girls 1.6%. Male sex seems to be associated with avoidance, as also seen in literature [ 30 ]. The figures for all missed appointments were higher here than for general population in the City of Oulu, Finland; 3–5% at the time of the study (Statistics, the City of Oulu Finland 2019) and among those having at least one missed appointment in line with a previous study of Tilja et al on DGA patients [ 31 ].…”

Section: Discussionsupporting

confidence: 71%

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

et al. 2021

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Background Dental fear may lead to avoidance of regular dental treatment. The scope of this long-term practe-based study was to monitor the dental attendance of patients who received chair-side dental and fear treatment. Methods In 2000–2006, patients in the City of Oulu, Finland, received treatment for dental fear in the Clinic for Fearful Dental Patients (CFDP) from primary health care dentists trained on this subject. Of the originally treated patients (n = 163), 152 (93%) with sufficient information in dental records made up the study population. Information on their age and sex was available. The number of dental examinations, emergency visits and missed appointments was collected covering the follow-up period of 10 years 2006–2016. For analyses, data were dichotomized according to age at baseline and preliminary outcome baseline condition of dental fear treatment evaluated in 2006. To investigate association further, Poisson regression as well as binary logistic regression models were conducted. As register keeper, the City of Oulu gave permission for this retrospective data-based study. Results Patients receiving dental fear treatment at younger age (2–10 y) had significantly more dental examinations than those treated at > 10 years. Preliminary success was associated with the number of examinations, but not with emergency visits and missed appointments. Sex was not a significant factor in later dental attendance. There was an association between few dental examinations and dental emergency care need with unsuccessful baseline outcome of dental fear treatment. Conclusions Successful dental fear treatment especially at an early age is beneficial for future dental attendance measured by the number of examinations and consequently, less need for emergency care than in the opposite case. Successful fear treatment has positive impact on later dental care and regular dental attendance.

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Section: Discussionsupporting

confidence: 71%

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

et al. 2021

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“…In another study, Al-Omari, et al [34] justified these results by arguing that anxiety has been shown to be positively correlated with neuroticism and women are known to generally have a higher level of neuroticism. In contrast, Yoshiaki Ihara, et al [38] reported that visiting a dentist is less common among men than women and as a result, men were classified as being severely difficult to treat in their study.…”

Section: Discussionmentioning

confidence: 68%

“…In contrast, many others did not find such relation between gender and dental anxiety [2,3,11,37]. Yoshiaki Ihara, et al [38] interestingly reported that male gender was a major factors related to past RCT experience and state anxiety (p = 0.88) as well as their number of injections (p = 0.68) (Table 1). Finally, base on the patient's answers, the most stressful part of dental procedure was drilling (37%) (Table 1).…”

Section: Gendermentioning

confidence: 95%

State and Trait Anxiety Evaluation in Dental Patients

Hamid¹,

Sepah²,

Hadi³

et al. 2018

Int J Depress Anxiety

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The purpose of this study was to evaluate the possible relation between dental patient's state anxiety, demographic factors and past experience of treatments with their trait anxiety in patients undergoing root canal treatments (RCT).Materials and Methods: 60 patients participated in this study. A single molar was treated in every patient. At their first visit, patients were asked to fill out a questionnaire about their demographic and educational status as well as a Persian version of STAI-T (Spielberger Trait Anxiety Inventory). At the second visit they filled out a STAI-S (Spielberger State Anxiety Inventory) before going through the dental procedure.Results: Our results showed a significant correlation between state and trait anxiety (P = 0.001). We also found no significant correlation between age and state anxiety (P = 0.932). However, no significant difference was found neither between education and state anxiety (P = 0.78) nor between past RCT experience and state anxiety (P = 0.88). In addition, our analysis indicates no correlation between state anxiety and total number of injections (P = 0.68). According to the patient's answers, the most stressful part of dental procedure was drilling (37%). Conclusions:Our results suggest that there is a relation between trait anxiety and state anxiety. Also, dental procedures are not a source of anxiety in patients with higher trait anxiety per se.

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“…However, the number of male patients in this group was more than twice that of females. We observed that anxiety and dental phobia were more common in male patients [26].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of general anesthesia and sedation during dental treatment in patients with special needs: A retrospective study

Akpinar

2019

J Dent Anesth Pain Med

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Background Patients with special health care needs are more likely to develop health problems, including dental problems. Dental treatments require a good level of communication with the patient. Therefore, in these patients, sedation and general anesthesia are an extremely humanistic approach for comfortable and successful treatment. In patients with special needs, there is no standard anesthetic approach due to varying clinical conditions. The aim of this study was to provide literature content about the anesthetic approaches used by us in patients with special needs. Methods The medical records of 710 patients with special health care needs treated under general anesthesia or sedation were reviewed retrospectively. Demographic data, the American Society of Anesthesiologists classification, Mallampati score, anesthesia duration, anesthesia type, anesthetic and analgesic agents used, dental treatment performed, secondary diseases, and complications in the perioperative period were recorded. Patients were evaluated under five groups: Down syndrome, other syndromes, psychiatric disorders, physical disabilities, and complicated medical story. Results Among the patients evaluated, 47.5% were females and 52.5% were males (mean age 15.76 ± 11.17 years), and general anesthesia and sedation were administered in 72.9% and 22.1% patients, respectively. The mean duration of anesthesia was 43.20 ± 35.85 min. Simple dental treatments were performed in all groups, and the most common complications were observed in the other syndromes group. Conclusion Complications can be reduced by utilizing the appropriate anesthetic approach and taking serious precautions in patients with special needs.

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Male Gender and High Trait Anxiety Are 2 Major Factors Associated With Severe Dental Fear and Avoidance

Cited by 9 publications

References 20 publications

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

State and Trait Anxiety Evaluation in Dental Patients

Evaluation of general anesthesia and sedation during dental treatment in patients with special needs: A retrospective study

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